Organization
NEW WAVES VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLTON BECKSTEAD (FOUNDER)
(949) 522-1469
Entity
Organization
Contact information
Practice address
515 W COMMONWEALTH AVE STE 104, FULLERTON, CA 92832-1751
(949) 522-1469
Mailing address
515 W COMMONWEALTH AVE STE 104, FULLERTON, CA 92832-1751
(949) 522-1469
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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